Peter J. Ruane, M.D. Inc.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

A042947 Issued in CA

Legal business name

PETER J. RUANE, M.D. INC.

Practice address

5901 W Olympic Blvd
Suite #401
Los Angeles, CA 90036-4667

Phone

(323) 954-1072

Fax

(323) 954-1081

NPI assigned

Dec 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Peter Jerome Ruane, M.D.NPI 1467640953

Title

President

Phone

(323) 954-1072

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Ruane, MD

  • Infectious Disease Physician
  • Los Angeles, CA
  • NPI 1467640953
  Medicare reassignment Authorized official
• Jacob Daniel Collins, PA-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1033690961
  Medicare reassignment
• Kenny B Trinidad, PAC

  • Medical Physician Assistant
  • Pasadena, CA
  • NPI 1417088469
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1881758688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD",
            "address_2": "SUITE #401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364667",
            "telephone_number": "323-954-1072",
            "fax_number": "323-954-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD",
            "address_2": "SUITE #401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364667",
            "telephone_number": "323-954-1072",
            "fax_number": "323-954-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J. RUANE, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "RUANE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-954-1072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A042947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Beena Peter

• Infectious Disease Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.